Doctor insights on:
Retained Placenta After C Section
Can you have retained placenta after a c-section? If so, does that mean you had accreta that no one noticed?
Placenta: Placenta accreta is when the placenta sticks and does not come off. ...Read more
The "afterbirth" is the placenta, membranes, and umbilical cord. After the birth of a baby, the placenta should separate from the uterine wall and deliver. It can take as long as 30 minutes for this to happen. If it doesn't separate and deliver during this time-frame it is considered a retained placenta, or retained afterbirth. Manual or surgical ...Read more
If someone had retained placenta after a csection (discover 3 weeks post and was detached but in cervix) does that mean they had accreta?
I've had a retained placenta for over a month now and I've recently gotten quite sick. No doctor has suggested removing it. Should I be worried?
Had baby 8 months ago. If I had any retained placenta, would I have had symptoms by now? What are they?
Being that you are 8months out from your delivery, it is unlikely you have any retained placenta. Heavy, irregular bleeding, clotting & cramping would typically herald retained placental fragments or pieces; although having no periods at all may be related.
If you had any delivery issues or complications with the delivery of your placenta, then I would discuss the matter with your delivering ob. ...Read more
Probably Not: Assuming you have had resumption of normal periods, and your pregnancy test is negative. It was be very very very rare. ...Read more
Normal birth with no complications. DC at 6w pp for retained placenta fragments. 4 months later period still is extremely light for 2 days. Ashermans?
D&C certainly can: Cause Asherman's syndrome or scarring of the uterine lining. However, D & C can also delay menses temporarily even if no scarring has developed. Also, following childbirth there's usually a delay in resuming normal cycles. Going to the other extreme, it's not impossible to conceive shortly after giving birth. I recommend pregnancy test & follow up appt. With your Gyno. Dr. Anne. ...Read more
Symptoms of these 3: Ovarian cysts may not cause symptoms at all or possibly pain or pressure in the lower abdomen on the side of the cyst. I don't know of any symptoms of retained placenta, but there are clinical signs your obstetrician is familiar with that suggest it. Symptoms of fibroids include pelvic pain and pressure, abnormal uterine bleeding, and reproductive dysfunction. ...Read more
Had a D&C at 6w postpartum for retained placenta. What are the chances of having ashermans syndrome? No periods since.
Probably not: The term "retained placenta" implies that the placenta has failed to detach spontaneously with the usual postpartum measures including uterine massage, IV pitocin, (oxytocin) and gentle umbilical cord traction. At that point manual removal of the placenta is indicated, and while performed carefully may not seem to be gentle. If manual removal is incomplete, surgical removal by curettage is usually next. ...Read more
Asherman's Syndrome: Asherman's syndrome is when the retained placenta was removed by "vigorous scraping" (d & c) of the lining of the uterus (endometrium) in which the two side walls of the uterus adhere together causing a subsequent absence of mentrual periods. This also occurs when the placenta "grows into the uterine wall" during the pregnancy and attempts to remove it cause asherman's syndrome. ...Read more
Would pelvic pain be so intense this long after delivery 2wk ago. Could I have appendicitis or retained placenta?
I had an ultrasound that showed retained placenta almost 2 weeks postpartum, but I haven't bled at all for 4 days. Can I decline the d&c?
Maybe: Sometimes the retained placenta is due to an ingrown into the muscle placenta (accreta) and is best left to come out on its own. If that is not the case by the MD's assessment, then a D & C is recommended to prevent an infection. If sudden bright red bleeding occurs at anytime run do not walk to the ER as it can be massive in a very short time. ...Read more
Why would a hysteroscopy be necessary if ultrasound showed only fre fluid and no other signs of retained placenta? Could US miss pieces post a d&C.?
Placental site nodules with intermediate trophoblastic cells showing significant cytologic atypia. Not uncommon. Is this common with retained placenta?
Pathology report?: If that is your pathology report from the removal of tissue at a d ;c? If yes, than commonly seen. ...Read more
No detachment: After delivery, the placenta is supposed to detach from the wall of the uterus along a specific layer of tissue. Sometimes this tissue layer is partially missing and part of the placenta is tightly adherent to the uterine wall. The placenta is divided into sections called cotyledons. Sometimes one or two cotyledons will be left behind when the rest of the placenta is delivered. Best wishes! ...Read more
Several: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
What to do if I have not been sick. Is it possible to have a retained placenta for that long without knowing?
I went for an ultrasound 3 weeks ago and my doctor said retained placenta. However my last child was born 5 years ago. What are the risks of this?
Not possible: I am not an OB but as a radiologist, I have had to diagnose this. As far as I know, you could not go for five years with retained placenta. It is more likely scarring or polyp/tumor of the uterus. I recommend you go to an independent laboratory for a repeat ultrasound including an endovagional US. If there is still uncertainty, a MRI is a great way to diagnose uterine abnormalities. ...Read more
Bright red bleeding 3 days post d &c for retained placenta (4 weeks postpartum). Very light when resting, but heavier. When I stand or do something.
Call your doctor: Bleeding should decrease each day. If it is not or worsening, you should call your surgeon (the one who performed the D&C). ...Read more
I had a retained placenta bleed for about two weeks and had sharp and extremely painful cramps in my right leg believe it traveled down that side and came out naturally when I was using restroom but I having sharp pains in my side now one year later?
Hmmm....: A retained placenta is just a little piece. The entire placenta is huge and is obvious when it is delivered (the same path a baby is delivered). A small fragment of the placenta can be stuck to the inside of the uterus after the main piece of the placenta has delivered. The retained fragment cannot travel to a side, a leg, nor anywhere... because the piece has only one way out, through the vagina. ...Read more